Please complete the following form in as much detail as possible. This will help us on our journey together.
If you are not willing or not able to complete a section at this time, please just enter an ‘x’ for now, so your form will be submitted.
There is also a ‘Save and Continue Later’ link at the bottom of the form – if you are running short on time or need to come back to the form for any reason you can click this, and you can elect to be sent an email with a link for you to continue with your form.
"*" indicates required fields
Reviews
About
Counselling and psychotherapy is available to people across Australia and New Zealand via video conference (Zoom) and in-person locally in Melbourne, Australia.
Copyright © 2025 Emotional Wellbeing Centre | 77 Ryans Road, Eltham 3095 | Find Us Online | Our Website Design Agency is Marmoset